MEDICARE: DOUGLAS S STACEY DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	8601	NV

General Provider Information

NPI Number	:	1144212085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS S STACEY DPM

Provider Business Mailing Address
First Line	:	10561 JEFFREYS ST
Second Line	:	#110
City	:	HENDERSON
State	:	NV
Zip	:	89052-4266
Country	:	US
Telephone Number	:	702-456-3668
Fax Number	:	702-456-6688

Provider Business Practice Location Address
First Line	:	10561 JEFFREYS ST
Second Line	:	#110
City	:	HENDERSON
State	:	NV
Zip	:	89052-4266
Country	:	US
Telephone Number	:	702-456-3668
Fax Number	:	702-456-6688

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	02/03/2014

Similar Medicare Providers

1649655515 — PARKWAY SURGERY CENTER, LLC
Practice Location Address:

10561 JEFFREYS ST , SUITE 130
HENDERSON, NV
89052-4266

Practice Phone: 702-724-8900
Practice Fax: 702-982-8854

1942292883 — GERALD W TORGESEN DPM
Practice Location Address:

10561 JEFFREYS ST , SUITE 110
HENDERSON, NV
89052-4266

Practice Phone: 702-456-3668
Practice Fax: 702-456-6688

1730161191 — DR. CLAUDIA K VOGEL M.D.
Practice Location Address:

10561 JEFFREYS ST , SUITE 211
HENDERSON, NV
89052-4266

Practice Phone: 702-990-4530
Practice Fax: 702-990-4527

1396727756 — DR. RAINER S VOGEL M.D.
Practice Location Address:

10561 JEFFREYS ST , SUITE 211
HENDERSON, NV
89052-4266

Practice Phone: 702-990-4530
Practice Fax: 702-990-4527

1891748471 — FOOT & ANKLE SURGICAL GROUP, LLP
Practice Location Address:

10561 JEFFREYS ST , #110
HENDERSON, NV
89052-4266

Practice Phone: 702-456-3668
Practice Fax: 702-456-6688

1598707853 — DR. WILLIAM SHANE KYLE M.D.
Practice Location Address:

10561 JEFFREYS ST , SUITE 100
HENDERSON, NV
89052-4266

Practice Phone: 702-478-5620
Practice Fax: 702-478-5093

Directions to “ DOUGLAS S STACEY DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.